Chapter 4361: 【450】Not to be outdone
I only know that the medical staff in the community hospital themselves were scared to death for half their lives.
If the cause is not found out, the patient’s family will come to the door every minute and say it is their fault.
Community hospitals ask for help from the National Association of China. How do doctors from the National Association of China solve the problem?
Dr. Qiu called the leader’s roll: “How about we talk about respiratory medicine first?”
The main cause of the patient's previous consultation was respiratory disease, so the respiratory medicine department should provide some advice first.
The experts selected for the Department of Respiratory Medicine are Teacher Wen and Dr. Hua, a very promising group of middle-aged and elderly people.
(So Dr. Xie’s exam was very fair, and none of the previous instructors, Dr. Xin, was admitted.)
Mr. Wen is good at talking about clinical experience, and Dr. Hua is good at operating new technologies in respiratory medicine. So first, Teacher Wen expressed his opinion.
“I personally think that the patient’s condition may not have much to do with respiratory diseases.”
After three days of antibiotic instillation, the patient's respiratory disease condition improved significantly, and the respiratory problems were a bit unreasonable.
Dr. Qiu wrote it down on the small blackboard, and then called the call: Department of Critical Care Medicine.
The two expert members of the critical care medicine team are also an interesting combination. One is Sister Yu from the NICU, and the other is Dr. Hao from the ICU.
The patient can actually be transferred to the ICU in this condition. I don’t know how the receiving ICU will handle this case.
The patient is not a pediatric patient. Dr. Hao replied: “First do a comprehensive examination to support his vital signs.”
This is the routine handling procedure of the ICU, and it is obvious that nothing will go wrong if everything is done smoothly.
“What kind of comprehensive examination?” Doctors from other departments criticized the ICU.
“Perform a full set of blood tests,” Dr. Hao said. “Re-examine the patient comprehensively, ask the patient’s past medical history again, and conduct imaging examinations if necessary.”
Other doctors: I feel like what you are saying is nonsense. Can you say that the emergency department is not doing these things?
The answers from the two departments gave people the illusion that this patient was getting more and more confused and the doctors were completely confused.
Someone in the room raised his hand to answer.
Dr. Qiu nodded: "Please answer Nurse Yao." Nurse Yao said: "Why don't we check whether it is a pyrogen reaction first."
Nurses do infusion work every day and are most aware of infusion reactions. The first cause of infusion reactions refers to infusion reactions in a narrow sense, that is, pyrogen reaction.
Pyrogen reaction simply means that the infusion equipment and the medicine itself are contaminated. Therefore, after each infusion reaction occurs, the medicine and infusion equipment must be sealed immediately and sent to the laboratory to check whether there are endotoxins (to confirm whether they are contaminated).
Dr. Qiu drew the key points of the medical record: only one patient in the entire infusion room had this "accident".
Pyrogen reactions are relatively easy to identify and will usually show up in more than one patient, as contamination usually does not occur in just one case.
Not to be outdone, Nurse Yao raised her hand again: "Are the amino acids lost? Is it related to liver disease?"
The infusion reactions that occur with amino acids are often related to patients with liver disease or gastrointestinal disease, because amino acids may induce hepatic coma.
Many doctors looked at Dr. Lin Chenrong who was here: Your wife is quite powerful.
Dr. Lin Chenrong: Let’s talk about Dr. Xie first.
Since Dr. Xie started working in cardiac surgery, his requirements for nurses have increased a lot. In addition, his wife received education from Dr. Xie.
Dr. Qiu, who is a hepatobiliary surgeon himself, blushed because he did not think of this quickly. The gastroenterologist and Dr. Tao quickly fell into thinking about the next step.
Sometimes it is not that the patient deliberately conceals his or her medical history, but that some diseases are too hidden in the early stages and cannot be known without investigation. Of course, no one will know until the patient stops having an attack.
Liver disease has this characteristic.
Before the discussion of the medical records was completed, the emergency department suddenly called and asked for support from doctors in the new district because the patient's vital signs were unstable again.
A large group of doctors hurried downstairs.
(End of this chapter)
